Matian DDS INC
Clinic/Center, Dental in Reseda, CA. Organization (NPI-2).
NPI number1992946206
StatusActive
Last updated in NPPESApr 24, 2013
Details
- NPI
- 1992946206
- Entity type
- Organization (NPI-2)
- Legal business name
- Matian DDS INC
- Organization subpart
- No
- Enumeration date
- Mar 16, 2009
- Last updated
- Apr 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 57773 | CA | Yes |
Practice location
18701 Sherman WaySuite 3
Reseda, CA 91335-4045
Phone 818-345-5556
Mailing address
18701 Sherman WaySuite 3
Reseda, CA 91335-4045
Phone 818-345-5556
Authorized official
Shawn Matian
President / Dentist
8183455556
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